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Physical Fitness Test WAIVER
Physical Fitness Test WAIVER
Department of Education
REGION III
SCHOOLS DIVISION OF CABANATUAN CITY
HONORATO C. PEREZ, SR. MEMORIAL SCIENCE HIGH SCHOOL
2. I hereby give my consent and authority to my Child/Ward to participate in the PHYSICAL FITNESS TEST to
be held on September 14-15, 2023.
3. I understand that the Activity will involve moderate physical activity. I hereby declare and guarantee that my
Child/Ward is physically and mentally fit to participate and take part in the Activity and that he/she has no known
illness, physical defect or adverse medical condition that would render him/her unfit to participate therein. Should
I subsequently discover any illness, physical defect or adverse medical condition that would render my Child/Ward
unfit to participate in the Activity, I shall advise the Organizer in writing immediately and I shall accordingly prevent
my Child/Ward from participating in said Activity. I understand that the Organizer reserves the right to prevent me
from joining the Activity if deemed unsuitable due to any physical, medical or psychological condition.
I have read the notes above and hereby declare that I have executed this document knowingly, willingly, freely
and voluntarily.
________________________________________
Printed Name & Signature of Parent/Guardian
________________________________________
Number to contact in case of emergency.